Managing Bleeding Piles and Constipation - #49624

Rx -Abhaya rishta ▪ 20 ml + equal water ▪ BD after meals -Arshoghni Vati ▪ 1 tablet BD after meals -Nagkeshar Churna + Lodhra Churna ▪ ½ tsp each (mix together) ▪ With honey or rice water ▪ BD -Triphala Churna ▪ 1 tsp with warm water ▪ HS (at bedtime) -Isabgol Bhusi ▪ 1–2 tsp with lukewarm water or thin curd ▪ HS (daily) -Pilex Ointment / Jatyadi Taila ▪ Local application BD ▪ After sitz bath -Anupana Warm water / honey / rice water (as mentioned) Pathya (Diet – MUST follow) ✔ Lauki, tori, pumpkin, spinach (well cooked) ✔ Rice gruel, curd diluted with water (takra) ✔ Ghee 1–2 tsp daily ❌ Brinjal, peas, cabbage, cauliflower ❌ Spicy, fried, fermented foods ❌ Tea, alcohol, late-night eating Vihara (Lifestyle) Warm water sitz bath 15 min daily No straining, no sitting long on toilet Walk 20–30 min daily Sleep before 11 pm Duration 4–6 weeks, then review Follow-up Advice ⚠️ If bleeding persists beyond 2 weeks, increases, or you feel weakness/anemia → evaluation by procologist + scope test advised, especially at age 50.